The Nursing Knowledge, Philosophies, Reflective Practice

For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005)

I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,

Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of

“Philosophies of nursing are statements of beliefs about nursing and expressions of values in nursing that are used as bases for thinking and acting. Most philosophies are built on a foundation of beliefs about people, environment, health, and nursing” (Chitty & Black, p. 298). By using person, environment, health, and nursing as a guideline to achieve the ultimate goals of nursing; I will discuss my personal philosophy and how these factors are used in nursing.

Philosophy of nursing is an intricate framework based on the nurse’s views, ideas, practice, beliefs, and ethics that give guidance and meaning to the care, treatment, and research of the nursing profession. (What is a Philosophy of Nursing, n.d.) “Most would agree then that nursing is increasingly recognized as a ‘multi-paradigm discipline’” (Powers & Knapp, 2011, p. 129).

The development of a philosophy related to the profession of nursing is important in that it provides a framework for the nurse to base his/her work on. Philosophy is defined by Merriam-Webster as “a search for a general understanding of values and reality by chiefly speculative rather than observational means”. In other words, philosophies are based on beliefs and assumptions with an overall goal of obtaining an objective which states the nurse’s purpose in the profession. In my undergraduate nursing program I was exposed to multiple nursing concepts that guided my practice. Coupled with my ten years of experience in the nursing field, I was enabled to formulate my own framework or guide to nursing. The paradigm which resonates with me the most is the interactive-integrative perspective as it views practice “as having multiple, interrelated parts in relation to a specific context.” (Newman, Sime, & Corcoran-Perry, 1991, p.38). My framework includes three main components: the client, the professional nurse, and the nurse-client relationship.

The purpose of this assignment is to enable the student, myself, to rediscover his or her personal philosophy of nursing as it exists upon the completion of the baccalaureate nursing program. Throughout the semesters, the view I had on what nursing meant to me has grown deeper, but one thing has stayed the same; my philosophy. In my philosophy project from the very first semester, I stated that nursing involves many different parts that all come together to make one great final end product, just like cookies. I compared nursing parts and all the different items nurses bring into the field, to being similar to the ingredients used to make cookies. I still believe that nursing is comprised of many different parts that all come together in order to give the best patient care possible. The personal philosophy paper now is an extension on that first semester’s assignment, to show the growth and development I have had while in this nursing program. It will explore what my personal definition of nursing is, the purpose of nursing, what assumptions in nursing there are, and will conclude with the principles of nursing.

A nursing philosophy coincides with self-awareness. Nursing philosophies are developed by each individual nurse regarding the nursing practice and are important in understanding what is fundamentally important to each nurse, along with their values and beliefs. Self-awareness, in short, is knowledge of one 's self, feelings, motives, and desires. In order for nurses to develop their own nursing philosophy they must first have a good sense of self-awareness. As a future nurse it is important that I recognize my own self-awareness so I can continue to build onto my beliefs and values of the nursing profession and gain a better understanding of what is fundamentally important to me as a nurse. In this paper I will discuss why I chose the nursing profession, my beliefs and values, and what I feel is fundamentally important in the nursing profession.

Today there are many nursing theorists who have developed their own nursing philosophies that help nurses shape their personal nursing philosophy. Rosemarie Rizzo Parse is a nursing theorist that captures some of the essentials of nursing philosophy and created the Human Becoming Theory of Nursing. Parse’s Theory of nursing causes one to think differently about the client, health, environment and nursing. This theorist has caught my attention because it focused on many of the beliefs and values that I identify with. My personal values include: compassion, integrity, professionalism and commitment.

Philosophy is a set of ideas, values, and beliefs behind what a person does (Merriam- Webster Dictionary, 2015). All nurses have beliefs about what nursing is and is not. It is important to stay true to one’s personal, moral, and ethical values at all times. Nurses are morally and ethically responsible for their patients, decisions, and actions (Lindh, Barbosa, Berg, & Severinsson, 2010). Every nurse brings something different to healthcare because they have different philosophies and/or believe in different nursing theories that guide their practice.

The two theories that have helped to form my personal perspective on nursing are Erickson; and Rogers. Helen Erickson’s model is based on caring for an individual patient based on their own unique needs and perspective (Nursing Theories and Models, 2017). Erickson’s model took concepts from several other theorists such as Maslow, Padget, Seyle, and Lazarus and combined them to create a nursing model that takes care of each individual patient based on their needs ( Reed, 2017). This theory helps me to be more cognizant of the individual needs of my patient, not all patients regardless of disease process are the same. Each patient may have different underlying factors or circumstances that affect their health and current situation. Rogers’ theory is broader, viewing nursing as both an art and science, promoting health and wellbeing to patients regardless of where they are (Nursing Theories and Models, 2017). The science of nursing involves the knowledge and research of nursing, and the art is applying that science for the betterment of the patient. This theory views an individual as part

Developing a nursing philosophy is important to a nurse as it serves as a guide and is the foundation for personal nursing practice. Following a personal nursing philosophy can enhance your nursing career, make you a better nurse and improve patient outcomes. However, it is difficult to choose one nursing theorist, as there are viewpoints from several theorists that align with my personal theories. Choosing one theory is not only difficult, it is possible to change a theory during your nursing career or draw from various theories while working with patients and their families depending on the situation. Consequently, nurses are taught the foundation of multiple theorist and there does not seem to be one correct model. It is a matter of finding one that fits your

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

The profession of nursing has matured from the time of Florence Nightingale. Nursing has gone from just treating dying soldiers on the battlefield to helping guide people through their entire lives from birth to death. The maturation of nursing has led to changes in nursing philosophy and allowed for practitioners of Nursing to meld these philosophies together to form their own philosophy. In this paper I will explain my philosophy of nursing and compare it to Virginia Henderson 's definition of nursing along with discussing some of the changes to Nurse philosophy I will also discuss some of the difficulties to being a patient advocate.

Philosophy has influenced the development of nursing. Philosophy of Nursing promotes the application of nursing knowledge and helps develop nursing theory and knowledge. Nursing theories and philosophies of nursing influence each other. Nurses designed Philosophy of nursing to explain the beliefs, role, and interaction with patients. Philosophy is the application of one 's knowledge to different situations that occurs when practicing as a nurse. It changes the identities, belief systems, and practices of nurses. Philosophies and experiences guide nurses in their professional decision making. (Marchuk, 2014). To be able to articulate a personal philosophy of nursing and identify the philosophical influences, nurses must have basic understanding past contribution to the theories and philosophies that have helped shaped nursing today. Knowledge development and different methods have played a huge part in nursing 's history.